Clinical Establishment Act Standard for HOSPITAL (LEVEL 1A ...

1 Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A &1B)) CEA/ HOSPITAL - 001 Page 1 Clinical Establishment Act Standard for HOSPITAL (LEVEL 1A &1B) Standard No. CEA / HOSPITAL - 001 Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A &1B)) CEA/ HOSPITAL - 001 Page 2 Introduction The Clinical Establishments (Registration and Regulation) Act, 2010 has been enacted by the Central government to provide for registration and regulation of all Clinical establishments in the country with a view to prescribe the minimum standards of facilities and services provided by them.

2 The Ministry has notified the National Council for Clinical Establishments and The Clinical Establishments (Central government ) Rules, 2012 under this Act vide Gazette. This Act is applicable to all kinds of Clinical establishments from the public and private sectors, of all recognized systems of medicine including single doctor clinics. The only exception will be establishments run by the Armed forces. Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A &1B)) CEA/ HOSPITAL - 001 Page 3 Table of Contents Sr.

3 No. Particulars Page No. 1. Categorization of Hospitals 4 2. Definition 6 3. Scope 7 4. Infrastructure 7 5. Equipments 8 6. Human Resource 9 7. Support Services 9 8. Legal/Statutory Requirements 9 9. Record Maintenance and Reporting 10 10. Basic Processes 10 11. Annexure 1 12 12. Annexure 2 14 13. Annexure 3 15 14. Annexure 4 22 15. Annexure 5 24 16. Annexure 6 25 17. Annexure 7 27 18. Annexure 8 28 19. Annexure 9 29 20. Annexure 10 30 Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A &1B)) CEA/ HOSPITAL - 001 Page 4 Categorization of Hospitals The minimum standards for Allopathic hospitalsUnder Clinical Establishment Act, 2010 are developed on the basis of level of care provided, as defined below.

4 HOSPITAL Level 1 (A)- General Medical services with indoor admission facility provided by recognized allopathic medical graduate(s) and may also include general dentistry services provided by recognized BDS graduates. Example: PHC, government and private Hospitals and Nursing Homes run by MBBS Doctors etc. HOSPITAL Level 1(B) This level of HOSPITAL shall include all the general medical services provided at level 1(A) above and specialist medical services provided by Doctors from one or more basic specialties namely General Medicine, General Surgery, Paediatrics, Obstetrics &Gynaecology and Dentistry, providing indoor and OPD services.

5 Level 1(A) and Level 1(B) Hospitals shall also include support systems required for the respective services like Pharmacy, Laboratory, etc. Example: General HOSPITAL , Single/ Multiple basic medical Specialties provided at Community Health Centre, Sub Divisional HOSPITAL , and private HOSPITAL of similar scope, Nursing Home, Civil / District HOSPITAL in few places etc. HOSPITAL Level 2 (Non-Teaching) This level may include all the services provided at level 1(A) and 1(B) and services through other medical specialties given as under ,in addition to basic medical specialty given under 1(B) like: a.

6 Orthopaedics b. ENT c. Ophthalmology d. Dental Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A &1B)) CEA/ HOSPITAL - 001 Page 5 e. Emergency with or without ICU f. Anaesthesia g. Psychiatry h. Skin i. Pulmonary Medicine j. Rehabilitation, etc. And support systems required for the above services like Pharmacy, Laboratory, Imaging facilities, Operation Theatre etc. Example: District HOSPITAL , Corporate Hospitals, Referral HOSPITAL , Regional/ State HOSPITAL , Nursing Home and private HOSPITAL of similar scope etc.

7 HOSPITAL Level 3 (Non-Teaching) Super-specialty services This level may include all the services provided at level 1(A), 1(B) and 2 and services of one or more of the super specialty with distinct departments and/or also Dentistry if available. It will have other support systems required for services like pharmacy, Laboratory, and Imaging facility, Operation Theatre etc. Example: Corporate Hospitals, Referral HOSPITAL , Regional/State HOSPITAL , Nursing Home and private HOSPITAL of similar scope etc.

8 HOSPITAL Level 4 (Teaching) This level will include all the services provided at level 2 and may also have Level 3 facilities. It will however have the distinction of being teaching / training institution and it may or may not have super specialties. Tertiary healthcare services at this level can be provided through specialists and may be super specialists (if available). It will have other support systems required for these services. It shall also include the requirement of MCI/other registering body for teaching hospitals and will be governed by their rules.

9 However registration of teaching Hospitals will also be required under Clinical Establishment Act for purpose other than those covered under MCI such as, records maintenance and reporting of information and statistics, and compliance to range of rates for Medical and Surgical procedures, etc. Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A &1B)) CEA/ HOSPITAL - 001 Page 6 Clinical Establishment Act Standards for HOSPITAL (LEVEL 1A 1B) 1. Definition A HOSPITAL is a Clinical Establishment providing patient treatment by qualified and trained staff and equipment through Allopathy - Modern system of medicine; where the patients are 'admitted' and stay overnight or more and they are referred as 'inpatients'; while some patients may go to a HOSPITAL just for diagnosis, treatment, or therapy and then leave, they are referred as 'outpatients' without staying overnight.

10 Hospitals have facility to admit and care for inpatients whilst the other Clinical establishments are described as clinics/polyclinics or day care centres. There are other exceptions too like Hospice etc. The general HOSPITAL , may have multiple departments taking care of many kinds of disease and injury, and normally has an emergency department to deal with immediate and urgent care. Specialized hospitals may include trauma centres, rehabilitation hospitals, children's hospitals, Mental hospitals or, and hospitals for dealing with specific medical needs such as psychiatric problems (psychiatric HOSPITAL ) or Sanatorium, certain disease categories such as neurology, cardiology, oncology, or orthopaedic, IVF and so forth.